Nutritional
interventions designed to improve zinc status in humans are
similar to those considered for nutrients that have public health
relevance: iron, iodine and vitamin A.
Populations with limited resources are at a greater risk of
suffering from micronutrient undernutrition, although its consumption
does not necessarily increases with better income, due to the
lack of information by the consumer regarding the content of
vitamins and minerals in food. This population group, despite
of being able of identifying hunger and satiety, is unable to
experience a natural appetite for vitamins and minerals, and
neither realize the need for, nor the type of food that provides
them.
Most micronutrients are mostly concentrated in very few foods,
thus, a more abundant or diverse diet may not necessarily increase
their intake. Additionally to the micronutrient content of several
commonly consumed foods, it is important to consider the presence
of promoters and/or inhibitors that may affect their absorption.
Foods rich in zinc include human milk, seafood, liver, fish,
red meats, cereals (germ), cow milk and pulses. In vegetable-based
foods, it is important to consider the content of zinc absorption
inhibitors, importantly, phytate, tannin and calcium.
The actions directed to improve zinc status in the general
population or in vulnerable risk groups with the goal of increasing
the consumption and/or reducing the intake of absorption inhibitors
fall in three categories: a) nutritional education, b) active
distribution of supplements, and c) food or water fortification.
Additionally, as in the case of vitamin A, zinc therapy may
be indicated as part of the nutritional treatment of diarrheal
conditions in children.
In order to define the need for a nutritional intervention
with zinc, as in the case with other micronutrients, a current
and reliable diagnosis of its deficiency and adequate identification
of risk groups is required. Unfortunately, in the case of zinc,
we still lack an adequate laboratory test to demonstrate its
deficiency which prevents determination of any evaluation impact.
We hope that current and future efforts will provide appropriate
tools that will enable and promote the required actions necessary
to improve this important micronutrient status.